Kenya National Cancer Control Programme (NCCP) FHIR Implementation Guide
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Kenya National Cancer Control Programme (NCCP) FHIR Implementation Guide, published by Digital Health Agency (DHA), Kenya. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IntelliSOFT-Consulting/nccpFHIRIG/ and changes regularly. See the Directory of published versions

: Kenya SHA Oncology Interventions Code System

Active as of 2026-06-04

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{
  "resourceType" : "CodeSystem",
  "id" : "sha-interventions-cs",
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem sha-interventions-cs</b></p><a name=\"sha-interventions-cs\"> </a><a name=\"hcsha-interventions-cs\"> </a><p>This case-sensitive code system <code>https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">SHA-CHEMO-FIRST-LINE<a name=\"sha-interventions-cs-SHA-CHEMO-FIRST-LINE\"> </a></td><td>SHA: Chemotherapy — First Line</td><td>First-line chemotherapy regimen.</td></tr><tr><td style=\"white-space:nowrap\">SHA-CHEMO-SECOND-LINE<a name=\"sha-interventions-cs-SHA-CHEMO-SECOND-LINE\"> </a></td><td>SHA: Chemotherapy — Second Line</td><td>Second-line or salvage chemotherapy.</td></tr><tr><td style=\"white-space:nowrap\">SHA-CHEMO-ADJUVANT<a name=\"sha-interventions-cs-SHA-CHEMO-ADJUVANT\"> </a></td><td>SHA: Chemotherapy — Adjuvant</td><td>Post-surgery adjuvant chemotherapy.</td></tr><tr><td style=\"white-space:nowrap\">SHA-CHEMO-NEO-ADJUVANT<a name=\"sha-interventions-cs-SHA-CHEMO-NEO-ADJUVANT\"> </a></td><td>SHA: Chemotherapy — Neo-adjuvant</td><td>Pre-surgery neo-adjuvant chemotherapy.</td></tr><tr><td style=\"white-space:nowrap\">SHA-CHEMO-PALLIATIVE<a name=\"sha-interventions-cs-SHA-CHEMO-PALLIATIVE\"> </a></td><td>SHA: Chemotherapy — Palliative</td><td>Palliative intent chemotherapy.</td></tr><tr><td style=\"white-space:nowrap\">SHA-RT-RADICAL<a name=\"sha-interventions-cs-SHA-RT-RADICAL\"> </a></td><td>SHA: Radiotherapy — Radical</td><td>Curative radiotherapy course.</td></tr><tr><td style=\"white-space:nowrap\">SHA-RT-PALLIATIVE<a name=\"sha-interventions-cs-SHA-RT-PALLIATIVE\"> </a></td><td>SHA: Radiotherapy — Palliative</td><td>Palliative radiotherapy course.</td></tr><tr><td style=\"white-space:nowrap\">SHA-RT-ADJUVANT<a name=\"sha-interventions-cs-SHA-RT-ADJUVANT\"> </a></td><td>SHA: Radiotherapy — Adjuvant</td><td>Post-surgery adjuvant radiotherapy.</td></tr><tr><td style=\"white-space:nowrap\">SHA-RT-CONCURRENT-CRT<a name=\"sha-interventions-cs-SHA-RT-CONCURRENT-CRT\"> </a></td><td>SHA: Concurrent Chemo-Radiotherapy</td><td>Chemotherapy and radiotherapy delivered concurrently.</td></tr><tr><td style=\"white-space:nowrap\">SHA-SURGERY-CURATIVE<a name=\"sha-interventions-cs-SHA-SURGERY-CURATIVE\"> </a></td><td>SHA: Surgery — Curative</td><td>Cancer surgery with curative intent.</td></tr><tr><td style=\"white-space:nowrap\">SHA-SURGERY-PALLIATIVE<a name=\"sha-interventions-cs-SHA-SURGERY-PALLIATIVE\"> </a></td><td>SHA: Surgery — Palliative</td><td>Palliative or debulking surgery.</td></tr><tr><td style=\"white-space:nowrap\">SHA-BMT-AUTOLOGOUS<a name=\"sha-interventions-cs-SHA-BMT-AUTOLOGOUS\"> </a></td><td>SHA: BMT — Autologous</td><td>Autologous bone marrow / stem cell transplant.</td></tr><tr><td style=\"white-space:nowrap\">SHA-BMT-ALLOGENEIC<a name=\"sha-interventions-cs-SHA-BMT-ALLOGENEIC\"> </a></td><td>SHA: BMT — Allogeneic</td><td>Allogeneic bone marrow / stem cell transplant.</td></tr><tr><td style=\"white-space:nowrap\">SHA-HORMONAL-THERAPY<a name=\"sha-interventions-cs-SHA-HORMONAL-THERAPY\"> </a></td><td>SHA: Hormonal Therapy</td><td>Hormone therapy for hormone-responsive cancers.</td></tr><tr><td style=\"white-space:nowrap\">SHA-TARGETED-THERAPY<a name=\"sha-interventions-cs-SHA-TARGETED-THERAPY\"> </a></td><td>SHA: Targeted Therapy</td><td>Targeted molecular therapy / immunotherapy.</td></tr><tr><td style=\"white-space:nowrap\">SHA-SUPPORTIVE-CARE<a name=\"sha-interventions-cs-SHA-SUPPORTIVE-CARE\"> </a></td><td>SHA: Supportive / Supportive Care</td><td>Supportive medications and G-CSF.</td></tr><tr><td style=\"white-space:nowrap\">SHA-PAIN-MANAGEMENT<a name=\"sha-interventions-cs-SHA-PAIN-MANAGEMENT\"> </a></td><td>SHA: Palliative Pain Management</td><td>Opioid and pain management for cancer.</td></tr><tr><td style=\"white-space:nowrap\">SHA-CANCER-SCREENING<a name=\"sha-interventions-cs-SHA-CANCER-SCREENING\"> </a></td><td>SHA: Cancer Screening</td><td>Covered cancer screening tests (cervical, breast).</td></tr><tr><td style=\"white-space:nowrap\">SHA-BIOPSY<a name=\"sha-interventions-cs-SHA-BIOPSY\"> </a></td><td>SHA: Diagnostic Biopsy</td><td>Tissue biopsy for cancer diagnosis.</td></tr><tr><td style=\"white-space:nowrap\">SHA-IMAGING<a name=\"sha-interventions-cs-SHA-IMAGING\"> </a></td><td>SHA: Oncology Diagnostic Imaging</td><td>CT, MRI, PET-CT for staging or response.</td></tr><tr><td style=\"white-space:nowrap\">SHA-ONCOLOGY-CONSULT<a name=\"sha-interventions-cs-SHA-ONCOLOGY-CONSULT\"> </a></td><td>SHA: Oncology Consultation</td><td>Specialist oncology consultation.</td></tr><tr><td style=\"white-space:nowrap\">SHA-MDT<a name=\"sha-interventions-cs-SHA-MDT\"> </a></td><td>SHA: MDT Meeting</td><td>Multidisciplinary tumour board review.</td></tr><tr><td style=\"white-space:nowrap\">SHA-PATHOLOGY<a name=\"sha-interventions-cs-SHA-PATHOLOGY\"> </a></td><td>SHA: Pathology / Histopathology</td><td>Histopathology, IHC, or molecular diagnostics.</td></tr><tr><td style=\"white-space:nowrap\">SHA-RT-DOSE-PER-FRACTION<a name=\"sha-interventions-cs-SHA-RT-DOSE-PER-FRACTION\"> </a></td><td>SHA: RT Dose Per Fraction</td><td>Radiation dose delivered per fraction (Gy).</td></tr><tr><td style=\"white-space:nowrap\">SHA-RT-TOTAL-FRACTIONS<a name=\"sha-interventions-cs-SHA-RT-TOTAL-FRACTIONS\"> </a></td><td>SHA: RT Total Fractions Delivered</td><td>Total number of radiation fractions delivered.</td></tr><tr><td style=\"white-space:nowrap\">SHA-SUSPECTED-CANCER-TYPE<a name=\"sha-interventions-cs-SHA-SUSPECTED-CANCER-TYPE\"> </a></td><td>SHA: Suspected Cancer Type</td><td>Type of cancer suspected at screening/referral.</td></tr><tr><td style=\"white-space:nowrap\">SHA-SUSPICION-LEVEL<a name=\"sha-interventions-cs-SHA-SUSPICION-LEVEL\"> </a></td><td>SHA: Cancer Suspicion Level</td><td>Clinical level of suspicion for malignancy.</td></tr><tr><td style=\"white-space:nowrap\">SHA-REASON-FOR-SUSPICION<a name=\"sha-interventions-cs-SHA-REASON-FOR-SUSPICION\"> </a></td><td>SHA: Reason for Suspicion</td><td>Reason underpinning the cancer suspicion.</td></tr><tr><td style=\"white-space:nowrap\">SHA-PRESENTING-SYMPTOMS<a name=\"sha-interventions-cs-SHA-PRESENTING-SYMPTOMS\"> </a></td><td>SHA: Presenting Symptoms</td><td>Symptoms presented by the patient.</td></tr><tr><td style=\"white-space:nowrap\">SHA-DIAGNOSTIC-WORKUP<a name=\"sha-interventions-cs-SHA-DIAGNOSTIC-WORKUP\"> </a></td><td>SHA: Planned Diagnostic Workup</td><td>Diagnostic investigations planned for confirmation.</td></tr></table></div>"
  },
  "url" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs",
  "version" : "0.1.0",
  "name" : "SHAInterventionsCS",
  "title" : "Kenya SHA Oncology Interventions Code System",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-06-04T14:49:30+00:00",
  "publisher" : "Digital Health Agency (DHA), Kenya",
  "contact" : [
    {
      "name" : "Digital Health Agency (DHA), Kenya",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://dha.go.ke"
        },
        {
          "system" : "email",
          "value" : "info@dha.go.ke"
        }
      ]
    },
    {
      "name" : "Digital Health Agency Kenya – FHIR Team",
      "telecom" : [
        {
          "system" : "email",
          "value" : "info@dha.go.ke",
          "use" : "work"
        },
        {
          "system" : "url",
          "value" : "https://dha.go.ke",
          "use" : "work"
        }
      ]
    }
  ],
  "description" : "Social Health Authority (SHA) benefit package codes for oncology interventions.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "KE",
          "display" : "Kenya"
        }
      ]
    }
  ],
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 30,
  "concept" : [
    {
      "code" : "SHA-CHEMO-FIRST-LINE",
      "display" : "SHA: Chemotherapy — First Line",
      "definition" : "First-line chemotherapy regimen."
    },
    {
      "code" : "SHA-CHEMO-SECOND-LINE",
      "display" : "SHA: Chemotherapy — Second Line",
      "definition" : "Second-line or salvage chemotherapy."
    },
    {
      "code" : "SHA-CHEMO-ADJUVANT",
      "display" : "SHA: Chemotherapy — Adjuvant",
      "definition" : "Post-surgery adjuvant chemotherapy."
    },
    {
      "code" : "SHA-CHEMO-NEO-ADJUVANT",
      "display" : "SHA: Chemotherapy — Neo-adjuvant",
      "definition" : "Pre-surgery neo-adjuvant chemotherapy."
    },
    {
      "code" : "SHA-CHEMO-PALLIATIVE",
      "display" : "SHA: Chemotherapy — Palliative",
      "definition" : "Palliative intent chemotherapy."
    },
    {
      "code" : "SHA-RT-RADICAL",
      "display" : "SHA: Radiotherapy — Radical",
      "definition" : "Curative radiotherapy course."
    },
    {
      "code" : "SHA-RT-PALLIATIVE",
      "display" : "SHA: Radiotherapy — Palliative",
      "definition" : "Palliative radiotherapy course."
    },
    {
      "code" : "SHA-RT-ADJUVANT",
      "display" : "SHA: Radiotherapy — Adjuvant",
      "definition" : "Post-surgery adjuvant radiotherapy."
    },
    {
      "code" : "SHA-RT-CONCURRENT-CRT",
      "display" : "SHA: Concurrent Chemo-Radiotherapy",
      "definition" : "Chemotherapy and radiotherapy delivered concurrently."
    },
    {
      "code" : "SHA-SURGERY-CURATIVE",
      "display" : "SHA: Surgery — Curative",
      "definition" : "Cancer surgery with curative intent."
    },
    {
      "code" : "SHA-SURGERY-PALLIATIVE",
      "display" : "SHA: Surgery — Palliative",
      "definition" : "Palliative or debulking surgery."
    },
    {
      "code" : "SHA-BMT-AUTOLOGOUS",
      "display" : "SHA: BMT — Autologous",
      "definition" : "Autologous bone marrow / stem cell transplant."
    },
    {
      "code" : "SHA-BMT-ALLOGENEIC",
      "display" : "SHA: BMT — Allogeneic",
      "definition" : "Allogeneic bone marrow / stem cell transplant."
    },
    {
      "code" : "SHA-HORMONAL-THERAPY",
      "display" : "SHA: Hormonal Therapy",
      "definition" : "Hormone therapy for hormone-responsive cancers."
    },
    {
      "code" : "SHA-TARGETED-THERAPY",
      "display" : "SHA: Targeted Therapy",
      "definition" : "Targeted molecular therapy / immunotherapy."
    },
    {
      "code" : "SHA-SUPPORTIVE-CARE",
      "display" : "SHA: Supportive / Supportive Care",
      "definition" : "Supportive medications and G-CSF."
    },
    {
      "code" : "SHA-PAIN-MANAGEMENT",
      "display" : "SHA: Palliative Pain Management",
      "definition" : "Opioid and pain management for cancer."
    },
    {
      "code" : "SHA-CANCER-SCREENING",
      "display" : "SHA: Cancer Screening",
      "definition" : "Covered cancer screening tests (cervical, breast)."
    },
    {
      "code" : "SHA-BIOPSY",
      "display" : "SHA: Diagnostic Biopsy",
      "definition" : "Tissue biopsy for cancer diagnosis."
    },
    {
      "code" : "SHA-IMAGING",
      "display" : "SHA: Oncology Diagnostic Imaging",
      "definition" : "CT, MRI, PET-CT for staging or response."
    },
    {
      "code" : "SHA-ONCOLOGY-CONSULT",
      "display" : "SHA: Oncology Consultation",
      "definition" : "Specialist oncology consultation."
    },
    {
      "code" : "SHA-MDT",
      "display" : "SHA: MDT Meeting",
      "definition" : "Multidisciplinary tumour board review."
    },
    {
      "code" : "SHA-PATHOLOGY",
      "display" : "SHA: Pathology / Histopathology",
      "definition" : "Histopathology, IHC, or molecular diagnostics."
    },
    {
      "code" : "SHA-RT-DOSE-PER-FRACTION",
      "display" : "SHA: RT Dose Per Fraction",
      "definition" : "Radiation dose delivered per fraction (Gy)."
    },
    {
      "code" : "SHA-RT-TOTAL-FRACTIONS",
      "display" : "SHA: RT Total Fractions Delivered",
      "definition" : "Total number of radiation fractions delivered."
    },
    {
      "code" : "SHA-SUSPECTED-CANCER-TYPE",
      "display" : "SHA: Suspected Cancer Type",
      "definition" : "Type of cancer suspected at screening/referral."
    },
    {
      "code" : "SHA-SUSPICION-LEVEL",
      "display" : "SHA: Cancer Suspicion Level",
      "definition" : "Clinical level of suspicion for malignancy."
    },
    {
      "code" : "SHA-REASON-FOR-SUSPICION",
      "display" : "SHA: Reason for Suspicion",
      "definition" : "Reason underpinning the cancer suspicion."
    },
    {
      "code" : "SHA-PRESENTING-SYMPTOMS",
      "display" : "SHA: Presenting Symptoms",
      "definition" : "Symptoms presented by the patient."
    },
    {
      "code" : "SHA-DIAGNOSTIC-WORKUP",
      "display" : "SHA: Planned Diagnostic Workup",
      "definition" : "Diagnostic investigations planned for confirmation."
    }
  ]
}